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Evaluation of Bone Mineral Density after Replantation or Revascularization Surgery in the Upper Extremity Original Article

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Author(s): Banu Dilek | Selmin Gülbahar | Kadir Bacakoğlu | Mustafa Özkan | Ramazan Kızıl | Metin Manisalı | Elif Akalın

Journal: Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi
ISSN 1302-0234

Volume: 57;
Issue: 2;
Start page: 73;
Date: 2011;
Original page

Keywords: Bone mineral density | replantation | upper extremity

ABSTRACT
Objective: This study was undertaken to examine bone mineral density (BMD) of the hand after replantation or revascularization surgery in the upper extremity and to investigate the relationship between BMD and muscle strength, range of motion and motor activity.Materials and Methods: Fourteen patients who underwent a replantation or revascularization surgery in the upper extremity were included in this study. Total active motion (TAM), handgrip and lateral pinch strength were evaluated. Motor activity was assessed using the Purdue Pegboard Test (PPT) and BMD was estimated by radiographic absorptiometry (ALARA). The results of the injured and non-injured sides were compared.Results: The average length of time that had elapsed after surgery was 5.36±3.08 years. Handgrip and pinch strength, TAM of the fingers and thumb as well as the PPT of the replanted extremity were significantly decreased (p0.05). There was a positive correlation between lateral pinch strength and BMD and a negative correlation between age and BMD (p
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